Olu tyenziso lusetyenziselwa ukuvula icandelo elincinci lomathumbu
Ukuhlinzwa ngokuqhelekileyo kusetyenziswa ukuphatha isifo sikaCrohn. Enyanisweni, malunga nesiqingatha sabo bonke abantu abane-Crohn's disease kwisisu esincinci baya kutyunjwa kwiminyaka eyi-10 yokuqala emva kokuxilongwa. Nangona uhlobo oluqhelekileyo lotyando lusetyenziso lwe- resection , elisetyenziselwa ukususa iindawo ezigulayo zesibilini, inkqubo yesibini eqhelekileyo kakhulu yindlela yokwenza i-strictureplasty.
I-strictureplasty yindlela yokuhlinzwa eyenziwa ukuvula isigaba esincinci samathumbu. Ngokungafani nophenyo lwe-resection, iinxalenye zesilwane azisuswanga ngexesha le-strictureplasty, okwenza kube yindlela ekhangayo kwi-resection xa kunokwenzeka. I-Strictureplasty inokwenziwa yedwa, okanye inokwenziwa ngexesha elinye.
I-Strictureplasty ayinokwenziwa ngokuthe ngenye indlela ebalulekileyo yesifo sesibindi (IBD) , isilitis colitis. Oku kungenxa yokuba i-ulcerative colitis ayinakwenzeka kakhulu kunesifo sikaCrohn ukudala izigulana.
Yiyiphi i-Stricture?
Isigxina apho inxalenye yesilonda iyancipha. Kwi-Crohn's disease, isithintelo sibangelwa xa iindonga zesilonda zivuthayo kwaye ziqhenqa. Iimpawu ezibomvu zinyuka ngaphakathi kwendawo yebilini, ebizwa ngokuba yi- lumen . Ngaphandle kwesithuba esaneleyo sokunqongophala kwezinto zokungcola, isitulo singakha ngaphakathi kwintathu kwisayithi yokuqina, kubangele ukukhutshwa okukodwa okanye okupheleleyo .
Oku kunokunciphisa kakhulu umgangatho wobomi, kuba ukutya kudla ngokukhawuleza kuyimfuneko , kwaye kunokukho iimpawu ezinjengeentlungu kunye nesifo sohudo.
Kukho amazinga ahlukeneyo omgangatho, kwaye abanye abanakho ukubangela nayiphi na ingxaki. Nangona kunjalo, xa isithintelo sineengxaki, kunokudinga ukuvulwa ngokuhlinzwa.
I-Strictureplasty isebenza njani?
Kukho iindlela ezininzi ezahlukahlukeneyo ukuba ugqirha unokufikelela kwisigxina. Yiyiphi inqubo ekhethiweyo iya kuxhomekeka kubukhulu besigxina kunye nokukhethwa kwonyango ogqirha. Kuye kwaphuhliswa izakhono ezahlukeneyo ze-strictureplasty ukwenzela ukugcina ubuninzi bezinambuzane. Ukukhupha intliziyo emancinci encinci kunokubangela iingxaki ezixhamlayo izondlo ekudleni, ngoko kubalulekile ukuba ugweme ukususa amacandelo ukuba kunokwenzeka.
Ziziphi iiengozi zoPhando lwe-Strictureplasty?
Ingozi inokuthi ihluke ngokuxhomekeke kwindlela esetyenziswa ngayo ukuhlinzwa. Olunye uphando lwafumanisa ukuba kukho iintlobo ezili-15 zeentlobo ze-strictureplasty ukuhlinzwa kwiincwadi ezipapashwe. Olunye uhlolisiso, uhlalutyo lwe-meta, lukhangele i-3,259 i-strictureplasty operesheni ukuza kunye nokuqikelelwa kwe-ballpark yeengozi. Kwizigulane eziye zahlinzwa ngokugqithiseleyo kwi-ileum okanye i-jejunum (ephakathi nendawo yokugqibela yamathumbu amancinci), i-4% yabona ubunzima obufana nokuvuza, i-fistula, okanye i-abscess. Emva kweminyaka emihlanu, kwakukho i-28% yezigulane ezaziphindaphinda. Ababhali baphetha ngokuthi i-strictureplasty kwi-ileum okanye i-jejunum yinkqubo ekhuselekileyo nenempumelelo.
Kwakukho ezimbalwa ukuhlinzwa okwenziwa kwinxalenye yokuqala yesisu esincinci (i-duodenum) kunye nekoloni ukwenza nayiphi na imigwebo malunga nokusebenza, nokuba ngaba unyango olungakumbi lunokufuneka kwixesha elizayo.
Yintoni Okufuneka Uyazi Ngaphambi Kokuphanda?
Ezinye zezinto oza kufuna ukuzibuza udokotela wakho ogqithisileyo ngaphambi kokuba u-strictureplasty zibandakanya:
- Kukhulu kangakanani ukukhangela?
- Ngaba nayiphi na isisu sam isisu kufuneka sisuswe?
- Kuza kwenziwa njani utyando? (Njengokuba kukho, inkcazo ebalulekileyo yenkqubo.)
- Ziziphi iingozi?
- Ngaba kukho na isicwangciso esilungileyo xa kunengxaki engalindelekanga?
- Ndize kube nini ndibe esibhedlele?
- Ndiza kuthatha ixesha elingakanani?
- Ndiya kubuyela nini kwimisebenzi yam eqhelekileyo (njengomsebenzi okanye isikolo)?
Ngaphantsi
I-strictureplasty, ngokubanzi, yindlela ekhuselekileyo neyisebenzayo yokuhlinzwa kwisifo sikaCrohn. Inenzuzo yokugcina amalungu omathumbu amancinci. Kukho iingozi, njengoko kukho nawuphi na utyando, kodwa izifundo zibonise ukuba zincinci.
Imithombo:
I-ADAM "Izifo ze-Crohn: Izifo ezithintekayo zezifo." ADAM, Inc. 29 Oktobha 2011.
UHeppell J. "Ugqirha Ngezifo zeCrohn." Ngomhla ka-16 Oktobha 2012.
Jobanputra S, Weiss EG. "Strictureplasty." Iikliniki kwiColon kunye noBuqhwala obuPhezulu . 2007; 20: 294-302.
Michelassi F, Taschieri A, Tonelli F, et al. "I-International, Multicenter, Prospective, Observational Study of Side-to-Side Isoperistaltic Strictureplasty kwiiNgxaki zeCrohn." I-Dis Colon Rectum 2007 3: 277-284.
Yamamoto T1, Fazio VW, Tekkis PP. "Ukhuseleko kunye nokusebenza kwe-strictureplasty kwisifo sikaCrohn: ukuphononongwa ngokuchanekileyo kunye nokuhlaziywa kwemeta." I-Dis Colon Rectum . 2007 Nov; 50 (11): 1968-1986.